Manila P Joshi, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

16513 Issued in MD

Practice address

Excelsis Root Canal Specialties
Suite a-204
Clinton, MD 20734

Phone

(240) 244-1013

NPI assigned

May 15, 2012

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Manila Nuchhe Pradhan Professional name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1508125212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "201-835-4765",
            "fax_number": "301-530-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXCELSIS ROOT CANAL SPECIALTIES",
            "address_2": "SUITE A-204",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20734",
            "telephone_number": "240-244-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17723 Washburne Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770953393",
            "country_code": "US",
            "telephone_number": "201-835-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "MANILA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "16513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANILA",
            "last_name": "NUCHHE PRADHAN",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brenda E Jones
• Chanel Jones, MSN-ED, CRNP, FNP-C
• Cheryl Denise Jones, B.S. PT
• Dominique Julia Jones
• Jeffrey Ezra Jones, PA
• Shamella Joy
• Maderia Montez Judkins, PHARM D
• Ernestine Augusta Kaloko, CRNA
• Mabinty Alice Kamara, CRNA
• Elizabeth K Kane, M.D.

• Endodontics in Clinton, MD
• Providers in Clinton, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.